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1811398126
DIANE SHEAD
ORANGE, CA
NPI
1811398126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT21771)
Enumeration Date
2014-09-06
Last Update Date
2014-09-06
Business Address
Mrs. DIANE SHEAD PT
1421 N WANDA RD SUITE 110
ORANGE, CA 92867-5343
Phone number: 714-771-7047
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Mailing Address
Mrs. DIANE SHEAD PT
1421 N WANDA RD SUITE 110
ORANGE, CA 92867-5343
Phone number: 714-771-7047
Copy
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